HomeMy WebLinkAboutMiscellaneous - 488 SHARPNERS POND ROAD 4/30/2018 488 SHARPNERS POND ROAD 210/105.D-0122-0000.0 NORTFt O� tOao 06'9 + OL Town of North Andover D.B.A. —Zoning Compliance Form 978-688-9545 �SSACHl1`��( This form must be reviewed with the Inspector of Buildings. Office Hours are Monday-Friday 8-10 am,and 1-2 pm Monday-Thursday. Applicant Name r J]f'' �� '1�i7 Fr`�t�1 Name of Business: )r`► r X1'1 t�7c`>,1 T i`�' �'�+i, Addres's of Business: -- r Z v2 j e L- I/ koni.ng District : Map i mal Lot [ —�77(.•�� L U-� C�OAU, U Phone: �� ., i� f)- i7�� Email 1 '', A o �+ ``11 j Nature of Business: V Do you own this property? Yes / No If no, written permission is required from your landlord. Will you have clients coming to this property? Yes No V Will you have any employees? Yes No C� Will you have any major deliveries? Yes No_c Description of Business Activi (Must be Completed) cz*��2y, 1 nq I%-A� Signature of Applicant For Signage Refer to North Andover Zoning Bylaw Section 6 The propose Wisa�ii d us . this zoning district. Issued By ate Date 1:1.J..... O� N°oTM 1N 3: .t':�`` -•'�•°O� TOWN OF NORTH ANDOVER = ' PERMIT FOR WIRING ,SSACNUSE� This certifies that ti-*'-� has permission to perform .�!!.::�... ... ... ®'-, wiring in the building of......`..�' :."'- "`� ................... ................... . ........ ' ` ...` .. ,North Andover,Mass. Fee..� ......... Lic.No... - �� ........:.................................................... f ELEcrRICALINSPECTOR Check # 5011 �\ l ommontuealth ol /41asov �achule Official Use Only 2erartownt o f-ire SeryPermit No. `J D�/ BOARD OF FIRE PREVENTION REONS Receipt No. APPLICATION FOR PERMIT 'O PERFORM ELECTRICAL WORK All work to be performed in accordance w the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) / Date: /O O� City or Town of: �k/����19no/ovP2 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street and Number) �Zff .-5�G/tia ,yeS5 10/ led Map: Lot: Zone: OwnerorTenant PC,kv) /911 de/1"5oh Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 9 No ❑ (Check Appropriate Box) Purpose of Building n to UtilityAuthorizzatioonnNo. g Existin Service �kOD Amps �/O / Volts Overhead L"J Underground ElNo.of Meters New Service Amps / Volts Overhead ❑ Underground ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ki Completion of the following table may be waived by the Inspector of Wires. t No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool-Above gmd. ❑ In-gtd.❑ No.of Emergency Lighting Ba=Units No. of Receptacle tacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No. of Gas Burners o.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No. of Waste Dis osers Heat Pump Nm uber Tons KW. No.of Self-Contained P Totals: . Detection Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ ConnectEl mer No.of Dryers Heating Appliances KW Security Systems: v No.of Devices or Equivalent No.of Water Heaters KW No.of Signs No.of Ballasts Data Wiring No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"complete operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has e ' 'ted proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify) O Estimated Value of Xjec 'cal Work: UOO. OP (When required by municipal policy). (Expiration ate) Work to Start:o2Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. /certify,under the pains an penalties o perjury,that the information on this application is true and complete. _ FIRM NAME: �c/ - P T/t► LIC.NO.:/91S is Licensee:M t C Aq,e lJ !/C Signaturezii� LIC.NO.: (If applicable,enter "exempt" in the license number line). Bus.Tel.No. Address: /Udit /IfG D o-e K �'1 q� Alt.Tel.No. S� ti✓�� wr ,ST avl s _� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑'owner's agent Owner/Agent J c/ Signature Telephone No. FERMIT FEE: $ INSPECTION RECORD Date Notes — Remarks Inspector t 0 �5 G� Date.. . . .. . . . . . ........ s ORT/1 pf 4��to ,°,tip o� TOWN OF NORTH ANDOVER - X PERMIT FOR GAS INSTALLATION SACMU5Et 2 This certifies that 1! � . has permission for gas installation�1: ��Il in the buildings of ./�.� �!. ,l. .f`. . . . . . . . . . . . . . . . at � flfl.✓.,� � � 6r�hndover, Mass. Fee.. ��/rlZ'. Lic. No..C;lh12 . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check a-b 2>w f. 4625 ; 7iii// MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ` _ (Print or Type) _ 17, ✓ -- Af A/J6VeMass. Date 19 Permit !%�� 36 F� ` Building Location wner's NameAA/91(/ A-t m dA,/ /� JT/✓C�Io1IF . Type of Occupancy Kms. New Renovation ❑ Replacement [] Plans Submitted: Yes❑ No/ N C N W N X Z C uj N N U C F N C H ¢ o n o Z w w Vrn �_r< Zw - ->6✓� =C `Cn wF- _ Fd- �' O C U w O o o < w N c 0c c w > L F- w F- O C wO I . L1 < w > c w 'z e < a O o i c - o c7 Z w i n r o J U c > o a F- O I I ---I Ll I BASEMcN T I t 1ST FLOOR I l 2ND FLOOR I I I I 3RD FLOOR 4TK FLOOR STH FLOOR it 6TH FLOOR 7TH FLOOR BTHFLOOR Installing Company Name eAd P S�.*v c� , (,LC Check one: Certificate Address j f s {• ❑ Corporation C.atee (.j Al- x4A-. ❑ Partnership Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter F� A& Lq 12-245 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ 11'.,Aou have checked yes, please indicate the type coverage by checking the appropriate box_ A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ - Signature of Owner or Owner's Agent I hereby certify that a;l of the details and information I have submitted (or entered) in above application are true and accurate to the test of my knowledge and that a!I plumbing work and installations performed under Ltie permit issued for this app, n will be in compliance with a!l pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. ey T of License: -- � —� Plumber Signature of Ucensedblumt>er or Gas Fitter Title sfitterMaster n Ci drown Journeyman License NumberLP 1,2-,z 0 (OIC USONL Ct-S (Ogg -9s-e* 3a,� s4. �✓�r' t -4"vtv.C)i gAl S- 4 Dorris °ha�9��P!�la�r,C V4,Fee o °orP lope; rhe �rh FlFc00 An a°raC�r°osr o9°� CN�'',�f 488 Sharpner's Pond Road 9j�'Oj� and�a'ke ara�oysr �'OI�sTC a �.ro ora a s '0°sr 113 r ?oofGf�°rOO6oarc°r�ho'� f°rhr'� ` y4�0/a. rhekr6eoof�SqSS' � EP F; ! ,19 one ` 242-828 I rho bei °fa��CPrh a o�;ioGr r J P* 00sro6 ane ;o rh (to L,,cr w,r«1 oy U E r•) rhe6rarhofro�•frofoFa 0/ 146,�6rhe rO r North Andove ro � C iy,Torn rP �� onwealth John Davenport '4ja°prhaoassachusettS o ones/aes Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 1 31 , §40 and under the Town of North Andover' s 13ylaw Chapter 3. 5 ,,-rpm NORTH ANDOVER CONSERVATION COt•MLSSION ro John Davenport John Davenport (Name of Applicant) (Na(ne of prowerty ovftierf address 488 Sharpner's Pond Road Address 488 Sharpner's Pond Road No. Andover MA 01845 No. Andover MA 01845 i his Order is issued and delivered as follows: by hand delivery to applicant or representa(ive on (date) �X October 3 , 1996 date) xpy certified mail, return receipt requested on ( chis project is located at 488 Sharpner's Pond Road The property is recorded at the Registry ofN_ a rrhp rr, F«ny Book 3291 Page 53 Certificate (if registered) The Notice of Intent for this project was filed on September 6, 1996 (dale) The public hearing was closed on eptember 18, 1996 (date) Findings The North Andover Conservation Commission has revievied the above•rel,?rericed r et c,2 Of Intent and plans and has held a public hearing on the project. Based on (he informalion aval(iole IC the NACC at this time. the (bt_C _ his deler(TunPd 111,11 the area on which the proposed work is to be done is significant to me,lotloviing interests in acccrcnri_e v.ilh the Presumptions of Significa ce e1 or-tointhe re ulations !or each A(ea Subject to ProleViQP Under [tie ( . ��8 -.,v, Recreation Act (check as appropriate): Ch. 178: 77t Prevention of Erosion & Sedimentation Ch. 178 Wildlife Pubiic water supply f67 Flood control ❑ Lind containing shellfish Private water supply Q Storm damage ore-rention Q Fisheries Ground water supply Prevention of pollution Protection of wildlil8 'tabita7t Total Filing Pee Submitted $55.00 State Shar- $15.00_ Citviiawn Share $40.00 (!'_ lee in rxccss of � '�i I� Bg ShARPNelk� POND tip. 1 Location s No. 217 Date 9 -;�9D,3 �o0 TOWN OF NORTH ANDOVER 4 3 O� Certificate of Occupancy $ Building/Frame Permit Fee $ D , ©� sAC MUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 300, Op Check # aq �d�.-Bails kT+iweeter TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT ' OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: Ciom` _ 6 X ic s SIGNATURE: Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: / 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Regifired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes NO rn i 2.1 Owner of Record iC>/2 4J /'Yn �2�S'®�✓' /4/cp S-' SW ,/gyp�� /?-.C�, . r Name(Print) Address for Service: �J Signa Telephone 2.2 wner of Recor :- l Name Print Address for Service: rn Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number mn Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ i Company Name rn Registration Number Address z Expiration Date Signature Telephone G SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building it. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: CPA-' ® x��r/ice AV 6& '4' cp SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be {3 CIUSEO .Y " Completed by permit applicant RAI x 1. Building (a) Building Permit Fee . � ®� '" Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on Mybeha afters re ' to uthorized by this building permit application. Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief A Print Name Signature of Owner/A ent Date r NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DR ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE - FORM U - LOT` RELEASE FORM c1----l1-D3 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ***********"""APPLICANT FILLS OUT THIS SECTION AAPPLICANT ( dR- U ���/��S'®'� a PHONEgs LOCATION: Assessor's Map Number / D PARCEL SUBDIVISION LOT(S) STREET T Sy��P/�/'�1z-r O/�f� /ZJ�91 AST. NUMBER "OFFICIAL USE ONLY" RWbMMENDATIOn OF TOWN AGENTS: CONSERVATION AD NISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS F DINSPECTOR-HEALTH DATE APPROVED DATE REJECTED \e�r4 SEPTft INSPECTOR-HEALTH DATE APPROVED a DATE.REJ ED.-- COMMENTS D:--COMMENTS PUBLIC WORKS-SEWERAVATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-954 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S. 150 A. The debris will be disposed of in: (sem (Location of Facility) i Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector A Q`STLef tIORTF/ •- w . a � Town of North Andover Building Department 27 Charles Street Ss vCHUSEt North Andover MA 01845 Tel: 978-688=9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE / © 3 JOB LOCATION Number Street Address Section of Town "HOMEOWNER Sht,� / /� " 6;8P2 e//�'�'�' ����' �-�� — 2. 0 p� Number Home Phone Work Phone PRESENT MAILING ADDRESS ��'� S�iS'� til�iZ,�s' /0 AZZ2 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one to six family dwelling,attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements d that he/she will comply with said procedures and require HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control. I MORTGAGE INSPECTION BAY STATE SURVEYING ASSOCIATES INC. JOB # 100 CUMMINGS CENTER, SUITE# 316J, BEVERLY,MA., 01915 N RT N4 f f A)DOV ER MA NOTES: LOCATION :......................................�.........../... 1)This is a mortgage inspection survey and not an ZD`�3 instrument survey,therefore this plot plan is for SCALE : 1" = g0 DATE :... .... ...................... mortgage inspection purposes only.It is NOT to be used to establish boundaries or for the REFERENCE : BKS' �) construction of any type of Improvements. �......•••••• ••••• 2)This survey is based on survey marks of others. ................. .............. •ESSEX NoRtI� DI�IGT...... 3)Bushes,shrubs,fences and tree lines do not ................. . . •RClr1S'[pq. D �� ,,,._,,,., necessarily indicate property lines. 4)Whenever an offset is 1'+-or less,an instrument /��D� W D EW IJ 4 PAM ELIC AObE2So n! survey is recommended to determine property TO. ....................................................................................... lines,and any possible encroachments. The location of the building(s)as shown,either 5 Offsets complied with the local zoning setbacks at the time of ) s shown aapproximate,and are to be construction oris exempt from violation enforcement used only for the determinatioonn of zoning,Not to action under Mass.G.L.Title VII Chapter 40A Section 7 be used to establish property lines. S)In my professional opinion the building(s)are not located in the special flood hazard zone,as F-A RPA41 vpE2. 6F I-oT SEE defined by H.U.D.MAP# ZS-4DOg2 6`1-93 PlArj-41196-L (�0 I11) 0 �1 DRiurWIRY E -Cf-TRIC,uTILIT`/ FAA 3'00- LDS 1 S S�ARp��n �?0 c X ZSrpOy I nn SHED I . O�Cut 'Q jFe F.4 I R N sTA� o �0T Q � I 4A 4, PA41'10 DoT � 305. CO' \ IF THE SURVEYOR'S SEAL IS NOT EMBOSSED.THE PLAN IS A COPY ^ THAT SHOULD BE ASSUMED TO G O� µ \ CONTAIN UNAUTHORIZED ALTERATICNS. 1 ' \ i THE CERTIFICATION CONTAINED ON \V/ THIS DOCUMENT SHALL NOT APPLY TO COPIES. HAY BALE & SILT FENCE LOCATION �C� FLAG #5 CSC u RZ gAq 5pms 0h.57AM�1?m IIt- FLAG #4 v N 1 ►t0 10� FLAG #3 WRAP 1 SILT F�1JC� �\taEs` l� QUI 'Ne q4 om uPl-11U. ► ,�$ , t FLAG #2 5l DE ► 1 t FLAG #1 B , W DEMARCATION r u / \t ! Ito o2 -NO UT ZONE ..- FT i `z• / , ', ' lU0-FT. BUFFER ZONE AREA OF FILL t31 Co.YD8..1N ISE �,.. �' i� AP TREE LINE r i i N 9 546 1 / L 7r PEN (No C_f,_U.O+R WALt_, 54tz" 114 122 C-)D' 0 ' -✓/ v � J �livUlf �1 J / d -007 j A1.I.. -rut,& OA5SU 011 RAN ASLO-40 BY Tt•IOPrIl4S E.. N£yE ASSM 1NL' PE. j-tbEx,�tal£t.L> MAS 1�}ClF.� `{ (9135 ' A IM4z4k w LJ___ . � O ?/09Cp -V_ aye o s Ft � > � MA.,Ott vAORTH 0" of �. Andover XI No.o?/l 70 -1L s CON 0 over, Mass., IV 07 C/ 40 43 0�0 COCHIC MEWICK 0;?ATED PV WARD OF HEALTH Food/Kitchen PERMIT T D Septic System 'V ���S.dBUILDING INSPECTOR THIS CERTIFIES THAT......A#v-W ?W A ......................... Foundation has permission to erect...,fit.Y.011?........... buY/Q ings on.......... 8 6 S .......................................1 4. .................. Rough to be occupied as......P r......A'41W ' 1 4*"*"**"***...******"....­*.....**'*'**...*...*...****...** ***"*"*'***...... Chimney ­*. ........ ...****. ..... .. .-- provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatin t the Inspect! Iteration and Construction of /00PLUMB % Buildings in the Town of North Andover. C 'q PLUMBING INSPECTOR 0Ila 3 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Service........... 00/0 ............................60 ................ BUI DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Y� COMMONWEALTH OF MASSACHUSETTS NUMBER aesr,�r BHP-2009-0473 North Andover FEE Board of Health $35.00 o-'¢' �•� ` Pamela Anderson- MOON SHADOW FARM DATE ISSUED s,Ac-M NAME March 01,2009 ND ROAD 488 SHARPNERS POND --------------------------------------- ------------------------------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Animal Animal This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires February 28,2010 unless sooner suspended or revoked. RESTRICTIONS:MOON SHADOW FARM;Acreage: 5.5; Equines: 8 Horses; 1 Pony-Private&Boarding ------------ — Board of NOTES:978.682.1366 or 978.430.9376 L CO Health ------------------------------------------ ----------------------------------------------------------- Board of Health Chairman x�.t r�,p�i.:w�.L+;...�.�..«fS.., ,.:o;« ...;:n.. . .:,;y`•." . .c.+m "...n.kS.�'#if`-:',.. /4�'�J,.ti••„per..- r O, 40RT:,� ' • Town of North Andover `+�'••;,,,;:: ,` HEALTH DEPARTMENT ,ss^CHUStt I CHECK#: DATE: ; r LOCATION: 41, H/O NAME: r ' CONTRACTOR NAME: Type qf>Permit or License:(Check box) Q, Animal $ .' S ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ` ❑ Dumpster $ ❑ Food Service-Type: $ h ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ' ❑ Offal(Septic)Hauler $ ,k ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials White--Applicant Yellow-Health Pink-Treasurer NORT►1 .3 3a 6e; _ •.•e c� + TOWN OF NORTH ANDOVER p Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT �'Ss�cHus 1600 OSGOOD STREET; Building 20; Suite 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone Susan Y. Sawyer,REHS/RS 978.688.8476—FAX Public Health Director healthdept@townofhorthandover.com Animal Permit Form www.townofnorthandover.com The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS: �� OWNER'S NAME: j�n�d �p OWNER'S ADDRESS/LOCATION IF DIFFERENT: Dealer: Yes No TOTAL ACREAGE: Adult Young(number of) 1. Cattle(Adult=2 years&over) Dairy Beef 7.Poultry:Chickens Turkeys Steers/Oxen 8.Rabbits: 2.Goats(Adult= 1 year&over) 9. Other: 3. Sheep(Adult= 1 year&over) 4. Swine: Breeders RECEWED . Feeders MAR 16 ZQ99 5.Llamas/Alpacas TOWN OF NDRT-�.ANDOUErR s` 6.Equines: Horses/Ponies HEALTH BE` iv,ENT Donkeys/Mules Stable use: Private L9' Boarding Training O Rental O Lessons O I I Ahp di Name of Applicant(PLEASE PRINT) ignature of Applicant Contact Phone Numbers (indicate cell;home;work, etc.) 'T C)'513 7 L C CLLQ ?g-GBZ- l3(oLe, Chome- FEE: $35.00 Please make check payable to: Town of North Andover(mail to above address) IF NOT RENEWED BEFORE MARCH 1sT.THE FEE WILL BE DOUBLED TO$70.00 Information requested by the Department of Agricultural Resources Bureau of Animal Health—Form 74-500 BKS—7103—4DBSBBI- i, I F I Location No. / _j Date ot "ORT" TOWN OF NORTH ANDOVER / O? • aOOR .J CJ Certificate of Occupancy $ Building/Frame Permit Fee $ 70 1 /I/y/ — l s�cMus t� Foundation Permit Fee $ O `� _ Other Permit Fee $ CIAO® BY CHConnection Fee $ /111/� Water Connection Fee $ MAY C 199, TOTAL $ U& Andover Collector !� Building Inspector Div. Public Works YLocation `T� No. / 4 Date 44 40RTOI TOM AOF NO&NO - ANDOVER ' pftt�a° ,140 Certificateccu�anc�$ *_ � • BuildinglFrar�Permit Fee �M�S t� Foundation Purr' 't Frei /00 Other Permit F •- Sewer ConnectlAwee $ Water Connection"Pee $ TOTAL $ �0© 1 Building Inspector a , Div. Public Works ` Location No. Date °RTM Tf WN OFGI ORTH ANDOVER Certcate of Ocancy $ ♦ • ��.... -N, trL7 } ° ; • Buil�g/Frame Fmit Fee $ • . E�� Four%tion-Permee $ ACHUS Otheirmiee'� $ Seweronnectior�e $ WateE onnectionmFee $ aq TOTAL $ Y Building Inspector Div. Public Works r PERMIT N©.:". - APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ��.hW71?',.i PAGE MAP 1-40. /0�� I.LOT NO. jaook 2 RECORD OF OWNERSHIP DATE BOOK PAGE n ZQ!I E, SUB y)lu. LOT NO.� � .I I LOCATION L shy, �tt14 pV a + PURPOSE OF BUILDING SAH 7 rf�� OWNER'S NAME 1 w� NO. OF STORIES LGSIZE OWNER'S ADDRESS BASEMENT OR SLAB I 07 t16 x'19;„"�. 5 �, ,leo• (Le9�% v..11. ARCHITECT'S NAME /G e� ��a kK•SIN SIZE OF FLOOR TIMBERS IST qx�Q 2ND Xaa 3RD BUILDER'S NAME j, SPAN 131 DISTANCE TO NEAREST BUILDING CP60DIMENSIONS OF SILLS 5 �. DISTANCE FROM STREET /b'! /$ POSTS y y u DISTANCE FROM LOT LINES-SIDES/, ._ 8-39 REAR /401 •• GIRDERS G+ klg AREA OF LOT , FRONTAGE /S'jf+ HEIGHT OF FOUNDATION -7 Op+/ THICKNESS IS BUILDING NEW S' SIZE OF FOOTING vtl `fit, X 4 � IS BUILDING ADDITION �D MATERIAL OF CHIMNEY IS BUILDING ALTERATION s/� IS BUILDING ON SOLID OR FILLED LAND Shc�p� WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Ye-J- IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER /ao ' IS BUILDING CONNECTED TO NATURAL GAS LINE /N o ~ INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY Q LAND COST / .n/h C +,e4 SEE BOTH BIDES REGULATED BY PARA: 114. 8-S. B.C. EST. BLDG. COST Cr 3 4,00 PAGE 1 FILL OUT SECTIONS 1 - 3 00 EST. BLDG. COST PER SQ. FT.J -- PAGE 2 FILL OUT SECTIONS 1 - 12 DATE:Y ( / FEE PAID: /��� EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING r �`ff 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGIL'RTT FOR FRAME/BUILDING PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR Ov g�s/ DATE: �lo FEE PAID 6. • DATE F E N5 " BOARD OF HEALTH SIGNAitURIk O l OWtR OR AUTHORIZED AGENT F E E J ?� J' w 6 6 y, 3.5s-0 PERMIT GRANTED OWNER TEL 0L G?S- 01(0 PLANNING BOARD cry CONTR.TEL R 7711■ CONTR.UC.III 048.75 1 O�p 5O,OD BOARD OF SELECTMEN I I ` G770. 0\') BLDG. PERMIT FEE$ LESS FDA FEF _ 1 oo, DUE FRAME PERMIT$4-70' o Bu1LDINfi INsPECTOR I � 1 ,• .; ' '+a�, """""�""��° BUILDING RECORD 1 OCCUPANCY MU TIE AMI Y OO CES f THkSlSF.�Tl '"UV S'�I eXACT DIMENSIONS OF LOT AND DISTANCE FROM LO T LINES!'SAND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. - CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH ��ik�s��i a•..�.�...a.."..-..F,..-�.•. CONCRETE KI I _ 3 1 2 13 col"13, W A CONCRETE BL K. PINE __ _ n • BRICK OR STONE HARDWD ii.�s.Gu 3Ca PIERS PLASTER • _' DRY WALL f UNFIN. n 3 BASEMENT AREA FULLI FIN. B'M'T AREA _ '/, '/p +/, FIN. ATTIC AREA ,NO BMT FIRE PIACES.. HEAD ROOM _ MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B I 2 3 - DROP SIDING CONCRETE K WOOD SHINGLES EARTH _ •� .' `w~ �'�i �• - ASPHALT SIDING HARDV✓'D _ ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH.TILE _ j } 1if '{i ""�"""""'g'•""'"""' - .. STUCCO ON MASONRY S_ 1r STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR 1 3 " +i� Yt�,{{ *� $ ' i'"• .' ' BRICK ON FRAME � I j CONC. OR CINDER BILK. STONE ON MASONRY WIRING L +�, ,,{jj I,,+ �+,• J, �{y'!I f+ STONE ON FRAME _ SUPERIOR ^ POOR ADEQUATE I NONE - 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) - FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T-R OR VAPOR WOOD RAFTERS T_ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7. NO. OF ROOMSGAS OIL B'M'T A 2nd. H_-NO ELECTRICLlyd HEATING _ o • II,� C Fuiu•i U ; 1 pf1 'h asi Fi TOWN of NORTH ANuuvEiz LOTRELEASE: FOM s .. ._ Al SUBDIVISION ASSESSORS MAP 44 0 Z4 SUBDIVISION LOT(S) Lvd""gyp 51�+0 �v4s poK.l1 . PERMANENT ADDRESSASSIGN 13Y D.P—W STREET (o�� (� 'APPLICANT P11ONi✓ 3s'6'29 DATE OF APPLICATION TOWN USE BELOW TIM LINE PLANININ BOARD r DATE APPROVED TOWN PLANNER DATE REJECTED `' CONSERVATION C01,21ISSION -DATE APP1ZUVL'U CJNSERVATION ADMIN. DATE REJECTED BOARD OF HEALr r DATE APPROVED r,� /J Gj/ HEALT SANITARIAN DA1`E REJECTED Bl7%Z� ls�t - DI;PARTIv1EN'T OF PUBLIC WORKS _ j���,/►'yLr� DRIVEWAY PERMIT /Ai4aa SEWER/WATER CONNECTIONS kv rPq rm,7;J 3 11 7/q1 FIRE DEFT. �. �` 2 L s✓ ���"�'j f jRECEIVED' BY TUiILDING INSPECTION — DATE — This form shall be signed by the agents of the Planning and Health Bvarcls,'. : the Conservation Co«unission prior to the issuance of any building permf.t`s. for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town reciuirement or Bylaw. ' L ` 66 �, �s� ��s �� {wL�� 1 b��n �a� U •�Y�!"9" f' � �,:'�e'y.14 1.€k'f'f.- � 1{ a �1 +F.�!A�'�•'YA�'�F t 4.. Y 4'�fs��`1L EY - • .Yid - �4 w� S y( F a wz I if I'. rt + i It, A � • � t i` • 11. t a t I COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ' OF 1010 COMMONWEALTH AVE. -MASSACHUSETTS BOSTON,MASS.02215 EXPIRATION DATE LICENSE CONSTR. SUPERVISOR RESTRICTIONS 993 6 EFFECTIVE DATE LIC-NO. NONE 09/01/1988 ' 048751 STEPHEN J GILLIS {r?, RTA2155TSS # 01048-7838 MEDfODMG ••��. PHOTO(BLASTING OPR ONLY) FEE: ' 0.00 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY TA S MP ED OR I S GNAT URE OF THE COMMISSIONER ..'� DOB: 02/10/1956 THIS DOCUMENT MUST BE ", CARRIED ON THE PERSON OF SIGN RE OF LICENSEE ' ! OTHERS RIGHT THUMB PRINT THE HOLDER WHEN ENGAG- _ •. - ED IN THIS OCCUPATION COMMISSIONER ' 200M-2-87-81429 t r PLAN of LAND / •ld, _ • I N sf, NORTH ANDOVER, MASS .� SNOWING COMMON DRIVEWAY a ELECTRIC UTILITIES EASEMENTS �.. co•IIIL', PREPARED FOR NNC EdIS•� ,+' i ANDREW CIRCLE REALTY TRU5T V SCOTTFCLLENSDEG a WILLIAM KON5TAN/NAKOS-TRV3TEES 04 SCALE,/••BO' NOV G,1167 ,m ddd i C tI 100 ZONING D/STRICT R-Z-RESIDENCE E DISTRICT ' .. a-• N / NOTES SEC '1t° �• /NC., v pY FRAC. s f AJ3C„ I_rl ll_f,,, H 31.•DATED A-IL e, 19B/. I •f ,PC •• ti, EW CIRCLE REALTY ; p 0 ANOR Lor,[ 81 N� YE Lor'/ .d •' „ o?A.eo E' ,l QIP I•' Y >s� .--- —`:' L.'?is. ' i ...LAT`!t _ SHARPXE R';4 •W I/•Y ? `�5 / L 5 Or sr• 4• e�4yu / s LOT'S iM u Lor'6 r v •!/ 80 6 ` j Il y�ya1 LOT-2 b8 ! LOT'/Z �t 8 .•'d u Io I .Y rid•'° S+e.E7a,-W r I LOT Z fi.. !/ Yieei Irj.'f POI"r.Ich . 9 . �I z IR �c� Jr �'!� s�r z L07-/0 L0r17 A cNrw" rErLE '/Ra 6 1 4e� % .. wars// Y%rP 8 `'5 46 rl _ yds• �Po pP c . EI PiI r/3LT/ VALVTERN ! RDE /411 �5� • Ep S &EASEMENT 2 6% ..t EurwIRE! ^�= z'I.ersl'E- - I a,L��96 \c'.0{Y SO to RXE'•.'S k,C ' n 8E./c/ 0 y # V' 4� \yylyp �i vd cIT 1 EASEMENT'!FoR �r-I;I •5>�C9 ! ^ I roL�IG�4 :ONMOV DRIVEWAY 0 11\ \FW{_ Vi.SG Potf ELECTRIC UTILIT/6S L'6 I g I i :4 so•W/O67TPItALvT S I 1 �I �I .. LOT'll .1 I . !a Lore o• �s,�.i.n •,3 � fI e 4 EASEMENT 1 ^ - ' f y�/�A�^I (�J ,.91 i CeH�no;dN WAY 3__�rl^ti=•_ . I � 1 1/ yy,Ili QO WIDE TYP/CAL� Z . 0 J ^ m;CERT/F THAT THE PROPc iv LINES SHOWNRARGTN6LIN69QND/Ne6Ml9IN6 C SHANo THE L/Ne9 pF eTR£E)s I V I r U' 0 •, TI Z i 4 0 = AND—T3 6,S' 6TS", OPELHL/C ANO R 1VATfi STREETS ANO WAYS A/-REAO� �• E9,TABUSHE[j ANO MJ NEW L/NES fOR v. / y0F ,p• 2 2 8 Z Q RI ^ V POR N6W WAYSIARE SHOwNR91lIP OR \ p Q I CHAP 980,AcT9 of/966 �' /�' d' �.•e7 •F8 •b8 .i •S F v it E O - AJOrEMeez yEQDe7 D E L N 4Y2:l 040 N ! vv� V 0� Isom'•.; /Seao ..... /SD.00'.. 00 /50 -- /EO 00 10OT Ism„! , -LOCUS MAP- "J/E0.0 Jr i-/SO. �JlC•.4f�GOTV /l SO 00' �RJY.E'K 1•.Eooc i I .-.Som'. • •� •- RPNgRS PO/v13 (—awc-/Eo•w/D6)- ��•- d .3/re 41 '+1 ✓SuA��-O,�J THAT TM/S PLAN ASE PRfPARGO T�„•,a CI.lr,.�A• • G. ^II.• t '" ' 1 IN CONFORMANCH WITH THC R L %AHO L RGGULATIONS OP THE REG'.TfR OP Ob EO I, � �I. 'haels:Y' -_'!:-•:::°eorrw Neveweec a,Ila7��.. .. - 7 ' I E TIFICATE OF USE OCCUPANCY Town of North Andover Building Permit Number 136 Date JULY 23, 1991 THIS CERTIFIES THAT THE BUILDING LOCATED ON 488 SHARPNER' S POND ROAD (LOT #5) : MAYBE OCCUPIED AS SINGLE FAMILY DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. f' f. E . - p10R7h I{ Of Oti m`a`t °p CERTIFICATE ISSUED TO J & C. S .G. Cori). j vyy tD ADDRESS 90 246 Main Street 2eariina MA 41 . SSACFIUS r i g nsp for f A v i ' A41U Nu4`cAt —PLAN Nl1gG I[ '�", FINS tAO --mover own of o Ilk Ra ; ;� � K er, Mass., A ® L ®� 19 � R SS BOARD OF T PERM LD 0 ZJe 5 THIS CERTIFIES THAT.. •�....�....�....�.... ....... ... ........................... BUILDING INSPECTOR has permission to erect W 64........ buildings on A10*0d. � Rough - to be occupied a .. � ,. ., .... Chimney ,Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in UM NG NSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of u Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY Final �� VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 114. 8-S. B.C. PERMIT EXPIRES IN 6 MONTUE: tLLC 4/ FEE PAID: oo — ELECTRICAL INSPECTOR Rough PERMIT FOR FRAMUBUILWWESS CONSTR ION STARTS service �d w Final Q, ` DATE:S:!o.9 FEE PAI D• 7� . ......... ... .. . . . ......... . .. .. ..... BUILDING INSPECTOR GAS INSPECTOR ' Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises � FIRE Do Not Remove Burnfer D PT. y No Lathing to Be Done Until Inspected and Approved by Smoke Det. - Building Inspector e� S .-� w �. Location.' / � '? No. - Date lr NORTH TOWN-OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 1ssA ISE< Foundation Permit Fee $ Other Permit Fee $ - ` o. Sewer Connection Fee $ k Water Connection Feel TOTAL II' Building Inspector 10096 Div. Public Works N PERMIT No. J APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP 4-40. o LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE l`SUB DIV. LOT NO. LOCATION ,t ( , PURPOSE OF BUILDING S,7r ., _ •, - - '" OWNER'S NAME NO. OF STORIES �f SIZE `1' •"'1 ... 60 .J f - - OWNER'S ADDRESS r BASEMENT OR SLAB `ct. ARCHITECT'S NAME-j�>elanSIZE OF FLOOR TIMBERS IST �",�� _ `2ND 3RD �•CY6 1�1 BUILDER'S NAME s _: SPAN !` DISTANCE TO HE DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS q �` DISTANCE FROM LOT LINES -SIDESCJ()1+9 -7LLjjq' RJ h"�y@ I � GIRDERS 1..1&A-^— AREA OF LOT 1 ✓l ac._ El V FFRONTAGE�{.J� ii HEIGHT OF FOUNDATION { THICKNESS IS BUILDING NEW.-� '.1��q1••� J SIZE OF FOGTING / X 18 BUILDING ADDITION+1C•fa MATERIAL OF CHIMNEY LJ/ \ R IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE , a- IS BUILDING CONNECTED TO TOWN WATER•K-•' (Ai BOARD OF APPEALS ACTION. IF ANY C� I9 BUILDING CONNECTED TO TOWN SEWER A j'f IS BUILDING CONNECTED TO NATURAL GAS LINE�✓ INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES .. .. .. _ EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. • PAGE 2 FILL OUT SECTIO�N9 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPB MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY 6 ATTACHED GARAGE9 MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ^� ��. ' i� �., DAT�i�/ k�ED`- �d y� /9 BUILDING INiP[CTO► SIGNATURE OF OWNER ORA THORIZED AGENT 1 t FEE OWNER TEL I PERMIT GRANTED CONTR.TEL I CONTR.LIC.I i ` BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S"ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY - OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH - CONCRETE d' I ? 13 CONCRETE BL K. PINE BRICK OR STONE HARDW 0 PIERS PLASTER _ _ DRY V/All _ I - `• UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/4 %I FIN. ATTIC:AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B I Z 3 DROP SIDING CONCRETE -- WOOD SHINGLES EARTH ASPHALT SIDING HARD"J'D ' ASBESTOS SIDING COMfAGN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME .. B M ATTIC SIRS. 6 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING _ STONE ON FRAME ON SUPERIOR I-i NONE it ADEQUATE $ ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 Fix.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 6 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 1 8 FRAMING I� 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. 6 COLS. HOT W T'R OR VAPOR - - WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T G UNIT HEATERS GAS - - - 7 NO. Of ROOMS _ OIL B'M'T 4�d _ ELECTRIC Ip 13rd I NO HEATING FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having. jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: �c�,l�lt1 ,ir r _ �Q. 1 �(� Phone LOCATION: Assessor's Map Number Parcel 21L AUS-D f Q�Z� Subdivisions Lots) StreetSt. Number ************************Official Use Only************************ RECO NDAT OF TOWN AGENTS: Date Approved - nserva on Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspe�ct�or-Health Date Rejected -� /l/I/� Date Approved -�7 Septic Inspector-Health Date Rejected Comments t Public Works - sewer/water connections - driveway permit r Fire Department crsyJ Received by Building Inspector Date 1 i L.o 7- ,<1 OML7 /A/C T' 1 1 X711 Jill 'tea. Q�cr� � � , ♦ , ♦ � X69 t'�, 2�� �.. ,���♦ � . , � � .\ (,fir � � t 1 i SII NORTH To ,own f .1 19Andover No. 5-1/9 dover, Mass., 19 F6 LA E COC ICHEWICK %S RATED C BOARD OF HEALTH Food/Kitchen Septic System PERMIT T BUILDING INSPECTOR 40 1A) THIS CERTIFIES THAT................................ ............................................................................................. ........... ........... Foundation 41 has permission to erect............Cg 1��...D.....:k.............. buildingkon ................ .... ....................... Rough tobe occupied as.............................................. ............... .......................... .............................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR MONTHS 'I T UNLESS CONSTRUCTION#S Rough Service ING INSPECTOR Final Occupancy Pernit Required t ccupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i • X Date .. .. . . .... .......... ...... } ` � 471 NORTI� TOWN OF NORTH ANDOVER f p PERMIT FOR WIRING. ,SSACHUS� 4» ._ Q This certifies that ... 4�!J��. r ..AZ.. has permission to perfo ....... . ..r. 'C. a wiring in the buildi g ........ ........ ................... r.t ..... ..at... .. ....... .�/��Z�K�/.L.�7.. :..1! .. orth Andover,Mass. w .................. ,;; . j��J E ICAL INSPEC7�����C- ..... 09/30/96 14:07 160.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use anry 4171 0ni LffalumunuizzlIth af ��cZL111 L' Permit No. r� r ijE Z1? =Tt tf � Occupane/St Fee Checked Q � 11��IL �'TS{P (leave blank) `3 BOARD OF FIRE PREVENTION REGULATIONS �27 VAR tZ:flO APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacriusetts SiectricaI Cade, 527 CMR :S^G (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Oate `iQRTEi ;,,,Tn��T�-R To the Inspector of Wires: QM or Town of The udersigned applies for a permit to perform the electrical •Nark described below. Po N O Location (Street 3 Number) -t2 IZ Owner or Tenant `T 04, ni Owner's Address Is this permit in conjunction with a building permit: Yes L� No �- (Che 4, A?prochate Sox) Purocse of euildina Utility Authcriza ion No. -610-6 Existing Service Amps _J VCi S Overread UnacrricIE: S— New S2r�ice ZD 0 Amps /Z�� Voits Gvernead _� Uncgrna _ No. of Meters �- Numcar of Feeders and Amcacity L ccaticn and Nature at Prepesed S!ectr csi "/crx Tccat I _ Na. at 7ranstormers K%1A No. at Lignang Ouciets I No. ... _ - Ct Aaover- In- -- j KVA !n- Swimming ?;at - r�C. Generators No. of Lighting F;xtures 3 _ grna. _ g Na. of crnergency Lighting 3arery Units CD I Na. at =eceacacie Outlets m � No. of Oil =tiers No. or Swrtcn outlets Na. ar as GEarners I --RE ''3,LAaMS No. at Zanes I Total Na. of Ce[ecron and No. at Ranges No. = Air CcnC• tans initiating Oavtces `•!eat Tocat Tocat / I :Na. of 'OiSOO5a15 N°lar 2u-�s Tans - KW- No. of Sounding (Devices F. No. of Sant Contained Oetea:onrSaunaing Cevices No. of visnwasners - ( Scace/Area Heattng ( Lccat 7-7 Heattna Cev:ces Ks1. Muntc:oai Other Connec::an No. at Oryers No. or No. of iLaw lactage Sailasts tNir:nc No. of '.Vater Heaters KI A i Sicns No. '-+yarn .Massage Tuias I: No. at Motors Total HP OTHE : INSURANCE CCVERAGE: Pursuant :o one redutrements at ,.1assacntSat-s general LawsYES _ 1 I have a current Liaotiity Insurance Palic/ inducing Carr-t_e�cec Caerau`nsu Zveeraa eof ;is �ucslza easleeCuicaten:Me voe of cavo age cy nave suomirea valid.proof at same CO (Me Ottics. YE3 v0 - ' cnecxtng the aooraonate cox. 7�RC{t Qr�T S �'NS• ' h�23���_ INSURANCE L,3CNO = OTHER - (Please Decay( 1 (Exotratton Oa(e) ILL Estimated Value of E!ec:ncal 'NorK S Rau n CrA L 51nat Warx :a Start Insoec:tdn Oate Racues:ac: g Signed unser :Me-Penatttes at perjury: S N C UC. NO. -- =iR�t NANIE L L ► S O C �1 )Z/,3 S UC. NO. /T---- - t S;gnacure / Licensee �� r' Sus. Tal. No. � Address 4 I W N �^ s`t- ,� l //� Alt. :et. NO. OWNEa'S INSURANCE'NAIVER: I am aware tnat the _censee apes not nave me Insura ce coverage or Its Suoscantlat uawvater�ge 'a - Address ay Massachusetts General Laws. and tnat my signature On ::^s =ermtc aoo°cauan waives this reautrement. O (Please cnecx One) o-RMIT PEE 0 etecncne No. iSigr.ature at Cwner ar Ageno